PT - JOURNAL ARTICLE AU - Amir K. Jaffer AU - Daniel J. Brotman AU - Nkem Chukwumerije TI - When patients on warfarin need surgery DP - 2003 Nov 01 TA - Cleveland Clinic Journal of Medicine PG - 973--984 VI - 70 IP - 11 4099 - http://www.ccjm.org/content/70/11/973.short 4100 - http://www.ccjm.org/content/70/11/973.full SO - Cleve Clin J Med2003 Nov 01; 70 AB - When a patient who has been taking warfarin long-term needs to undergo surgery, how to manage his or her anticoagulation is controversial. We believe most patients should stop taking warfarin 5 days before elective surgery, and most do not need to receive heparin in the perioperative period as a bridge to surgery.